NPIMap

Organization Active NPI

Carus Dental PC

  • General Practice Dentistry
  • Cedar Park, TX
National Provider Identifier
1326422668
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21059 Issued in TX
Legal business name
CARUS DENTAL PC
Practice address
1130 Cottonwood Creek TRL Ste A2
Cedar Park, TX 78613-7862
Phone
(512) 690-2368
NPI assigned
Jul 16, 2015
Organization subpart
Yes
Parent organization
CARUS DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Celia Hayes
Title
Credential Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21059 TX Primary

Addresses

Primary practice location

1130 Cottonwood Creek TRL Ste A2
Cedar Park, TX 78613-7862

Mailing address

1130 Cottonwood Creek TRL Ste A2
Cedar Park, TX 78613-7862
Phone (512) 690-2368

Other names 1

  • Carus Dental Cedar Park Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Longorn Dental41 organizations share this tax ID, including this one
Part of
Longorn Dental

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

1130 Cottonwood Creek Trl
Ste A2
Cedar Park, TX 78613
Phone (512) 690-2368

3901 E Stan Schlueter Loop
Ste 106
Killeen, TX 76542

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1326422668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 COTTONWOOD CREEK TRL STE A2",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137862",
            "telephone_number": "512-690-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 COTTONWOOD CREEK TRL STE A2",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137862",
            "telephone_number": "512-690-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARUS DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARUS DENTAL PC",
        "enumeration_date": "2015-07-16",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIAL COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carus Dental Cedar Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.